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Executive and Legislative documents laid before the General Assembly of North-Carolina [1871; 1872]

16 Document 'No. 5. ! Session
twelve to tifteeu years. Tlie time in tlie Asylum of theformer,
varied from two to fourteen months, and of the latter, with one
exception, from three to twelve years.
Of those discharged unimproved, the supposed cause of the
disease w^as mental in none ; j)^ii/sical in 3, and unknown in 6
cases. The duration of the disease before admission varied
from 2 to 30 years, the tune in the Asylum, from 4- to 15
years.
Of the 8 deaths, the cause of the insanity is represented to
have been mental in 3 cases ; physical in 4, and unknown in 1.
The forjn was mania in 6 cases, epileptic mania in 1, and
melancholia in 1. The duration before admission was from 1
to 14 years in 5 cases, and less than one year in 3. The time-in
the Asylum in all the cases but two, A-aried from 3 to 6-
years. The cause of death was epilepsy in 3 cases ; dropsy
ovarian or abdominal in 3, and typhoid dysentery in 1, and un-known
in one. At the time of death two cases were between
30 and 40 years of age ; three betw^een 40 and 50, two upwards
of 50, and one unknown.
Of the 44 cases admitted during the year, the caiise is re-ported
to have been mental in 14, ^y^y5^m^ in 17, unknoimi in
12, and mixed in 1. The form w^as mania in 28 cases ; epilep-tic
mania in 2 ; homicidal mania in 2 ; melancholia in 9, and
dementia in 3. The duration of the disease before admission
was from 10 to 20 years in 4 cases ; from 5 to 10 years in 2
cases ; from 1 to 5 years in 17 cases ; less than one year in 19
cases, and unknown in 2 cases.
It is proper to remark that the information concerning the
duration of the disease before application is made for the ad-mission
of patients is, generally exceedingly unreliable, as most
persons reckon from the exhibition of some violent paroxysm,
and not from the beginning of symptoms wdiich for a long time
may have been unnoticed or unappreciated, wdiile the disease
is steadily marching through a series of months or even years.
I regret that so few cases reach the Asylum in their acute
stage.

16 Document 'No. 5. ! Session
twelve to tifteeu years. Tlie time in tlie Asylum of theformer,
varied from two to fourteen months, and of the latter, with one
exception, from three to twelve years.
Of those discharged unimproved, the supposed cause of the
disease w^as mental in none ; j)^ii/sical in 3, and unknown in 6
cases. The duration of the disease before admission varied
from 2 to 30 years, the tune in the Asylum, from 4- to 15
years.
Of the 8 deaths, the cause of the insanity is represented to
have been mental in 3 cases ; physical in 4, and unknown in 1.
The forjn was mania in 6 cases, epileptic mania in 1, and
melancholia in 1. The duration before admission was from 1
to 14 years in 5 cases, and less than one year in 3. The time-in
the Asylum in all the cases but two, A-aried from 3 to 6-
years. The cause of death was epilepsy in 3 cases ; dropsy
ovarian or abdominal in 3, and typhoid dysentery in 1, and un-known
in one. At the time of death two cases were between
30 and 40 years of age ; three betw^een 40 and 50, two upwards
of 50, and one unknown.
Of the 44 cases admitted during the year, the caiise is re-ported
to have been mental in 14, ^y^y5^m^ in 17, unknoimi in
12, and mixed in 1. The form w^as mania in 28 cases ; epilep-tic
mania in 2 ; homicidal mania in 2 ; melancholia in 9, and
dementia in 3. The duration of the disease before admission
was from 10 to 20 years in 4 cases ; from 5 to 10 years in 2
cases ; from 1 to 5 years in 17 cases ; less than one year in 19
cases, and unknown in 2 cases.
It is proper to remark that the information concerning the
duration of the disease before application is made for the ad-mission
of patients is, generally exceedingly unreliable, as most
persons reckon from the exhibition of some violent paroxysm,
and not from the beginning of symptoms wdiich for a long time
may have been unnoticed or unappreciated, wdiile the disease
is steadily marching through a series of months or even years.
I regret that so few cases reach the Asylum in their acute
stage.